CHA News Article

Study Finds HQID Demonstration Did Not Reduce Mortality Rates

A study recently released by the New England Journal of Medicine found that the six-year Medicare Premier Hospital Quality Incentive Demonstration (HQID) did not improve mortality rates among participating hospitals. The study found that the demonstration, which is the model for the Hospital Value-Based Purchasing (VBP) Program, was associated with modest improvements in processes of care, but much less is known about its effect on patient outcomes. Nothing was found to show that the right mix of incentives and targets to ensure pay for performance will drive improvements in patient outcomes. The study concludes that expectations for programs modeled on HQID, such as the Hospital VBP Program, should be modest. The study is available at